Lk Child And Family Therapy, Llc | |
3806 Southland Ave Ste B Kokomo IN 46902-3833 | |
(765) 860-1229 | |
Not Available |
Full Name | Lk Child And Family Therapy, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3806 Southland Ave Ste B, Kokomo, Indiana |
Authorized Official Name and Position | Lisa Minnick (OFFICE MANAGER) |
Authorized Official Contact | 8128287637 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lk Child And Family Therapy, Llc 3806 Southland Ave Ste B Kokomo IN 46902-3833 Ph: (765) 860-1229 | Lk Child And Family Therapy, Llc 3806 Southland Ave Ste B Kokomo IN 46902-3833 Ph: (765) 860-1229 |
NPI Number | 1649649609 |
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Provider Enumeration Date | 09/21/2015 |
Last Update Date | 09/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649649609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 39001655A (Indiana) | Secondary |
251S00000X | Community/behavioral Health | 35001637A (Indiana) | Primary |
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